Healthcare Provider Details

I. General information

NPI: 1356540942
Provider Name (Legal Business Name): GLASGOW FAMILY PRACTICE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/13/2007
Last Update Date: 07/13/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4633 OGLETOWN STANTON RD
NEWARK DE
19713-2006
US

IV. Provider business mailing address

2600 GLASGOW AVE SUITE 120
NEWARK DE
19702-4773
US

V. Phone/Fax

Practice location:
  • Phone: 302-737-1085
  • Fax: 302-737-4745
Mailing address:
  • Phone: 302-836-8200
  • Fax: 302-836-4302

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: DR. GREGORY DAVID ADAMS
Title or Position: OWNER
Credential: M.D.
Phone: 302-737-1085